Feedback: INCORRECT Feedback: INCORRECT Both the interviewer and the patient should be at eye level at a distance of 4 to 5 feet. This is a closed or direct statement. 25 pages. A) hearing loss D) Socialization experience An episodic database is for a limited or short-term problem; this database concerns mainly one problem, one cue complex, or one body system. Preschooler's communication is direct, concrete, literal, and set in the present. Includes lecture notes, powerpoint information, textbook notes, and pictures! A follow-up database is used to follow up short-term or chronic health problems; the statuses of identified problems are evaluated at regular and appropriate intervals. B) the nature or character of the headache. Feedback: INCORRECT A medical diagnosis is used to evaluate: An emergency database is rapid collection of the data often obtained concurrently with lifesaving measures. Category: Health Detail Health C) the process of being raised within a culture. * The perceived causes of illness and symptoms can be culturally based and may be viewed as *biomedical* (or scientific), *naturalistic* (or holistic), or *magicoreligious*. 4. emergency. This is a closed or direct question. An example of an open-ended question or statement is: breathing, bleeding When people with limited English proficiency seek health care, services cannot be denied to them. Work to develop the ability to read patients' nonverbal behaviors and to monitor your own nonverbal communication. B) impedes further discussion. Feedback: INCORRECT The purposes of the review of systems are to evaluate the past and present health state of each body system, to double-check in case any significant data were omitted in the present illness section, and to evaluate health promotion practices. Objective data is the observations obtained by the health care professional during the physical examination. One method to verify information within the context of the interview is to: A) the patient's perception of pain. Questions about condom use would only be appropriate if the youth is sexually active. A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. The interviewer and patient should be comfortably seated; standing communicates haste and assumes superiority. C) "Why did you wait so long to make an appointment?" Objective b. Subjective c. Introspective d. Reflective a. D) arthritis. Nonverbal communication is the primary communication method for infants. A) physical findings, such as skin appearance, to support historic data. Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 161. Pain is a very private, subjective experience that is greatly influenced by cultural heritage. Before determining whether cultural practices are helpful, harmful, or neutral, nurses must first understand: A) "I know just how you feel." Impaired gas exchange is an emergent and immediate problem. A) Collect accurate data B) Assist the physician C) Validate previous data *C) the heritage of the nursing profession. When taking an *older adult's health history*, also ask additional questions. PQRSTU is a mnemonic that helps the clinician to remember to address characteristics specific to: You *assess factors related to heritage* to determine the depth to which you and the patient identify with a traditional heritage, that is, the cultural beliefs and practices of the family, extended family, and an ethnoreligious community. C) used to evaluate cause and etiology of disease. For a younger child such as a toddler, the parent will provide all or most of the history. Chapter 15 - Ears * Evidence-Based Assessment: Chapter 1 ADPIE (nursing process) Health promotion model Health prevention Subjective/objective data - database First, second, third priority level problems Evidence-based assessments-four types of patient assessments Charting normal/abnormal findings Obstacles for . *A) "Tell me about your pain. C) a record of objective findings. Feedback: INCORRECT Feedback: INCORRECT *Feedback: CORRECT* When preparing the physical setting for an interview, the interviewer should: The biomedical model of Western tradition views health as the absence of disease. Feedback: INCORRECT (select all that apply) Parents or caretakers accompany children to the health care setting. Feedback: INCORRECT A) set the room temperature between 64 and 66 F. (1) Providing false assurance or reassurance, Feedback: INCORRECT Feedback: INCORRECT Assessment of self-esteem and self-concept is part of the functional assessment. *PQRSTU* stands for *P*rovocative or palliative, *Q*uality or quantity, *R*egion or radiation, *S*everity scale, *T*iming, and *U*nderstanding the patient's perception of the problem. *Religion* is the belief in a divine or superhuman power or powers to be obeyed and worshipped as the creator or ruler of the universe. D) Patients with language barriers have a decreased risk of nonadherence to medication regimens. - The parents' description of the present problem, 2. Through *facilitation*, *silence*, *reflection*, *empathy*, and *clarification*, you react to the facts or feelings the patient has communicated. This response is an inappropriate communication technique referred to as giving unwanted advice. B) exercise and activity, leisure activities, and level of independence. Through *confrontation*, *interpretation*, *explanation*, and *summary*, your response *focuses on your own frame of reference*, thoughts, and feelings. By combining this subjective data with objective data from the physical examination and diagnostic tests, you create a database to make a judgment about the person's health status. Refer to feedback in option B. (3) A *follow-up database* evaluates the status of any identified problem at regular intervals to follow up on short-term or chronic health problems. When assessing *functional abilities*, consider the child's environment and his or her function or role in the environment. A reliable person always gives the same answers, even when questions are rephrased or are repeated later in the interview. D) Older adults D) a concise statement of actual or potential health concerns or level of wellness. The nurse questions the reliability of the history provided by the patient. *Third-level priority problems* are important to the patient's health, but can be addressed after more urgent problems. Health promotion and disease prevention are important aspects of nursing's concept of health. Initial Comprehensive Assessment 2. What is the yin/yang theory of health? *complete health history data category 6. Feedback: INCORRECT - Eye contact, This option is not within the context of the interview. Subjective data is what the person says about himself or herself during history taking. And I never even used the ATI to study for the NCLEX. Feedback: INCORRECT For a well person, briefly note the general state of health. A) his or her own heritage. Feedback: INCORRECT first level priority Emergent, life threatening, and immediate ex. Feedback: INCORRECT You should *guard against stereotyping* individuals. B) "On a scale of 1 to 10, how would you rate your pain?" The four humors of the body include the blood, phlegm, black bile, and yellow bile; the humors regulate basic bodily functions and are described in terms of temperature, dryness, and moisture. * Religion and spiritual leaders may strongly influence the perception of health, illness, and practices. C) Emergency *Nonverbal modes of communication* include: Open-ended questions and statements ask for narrative information; they state the topic to be discussed, but only in general terms. For the well person, the present health or history of present illness is a short statement about the general state of health. D) Older adults. It breaks up the book into easy to read bullet points. B) a pattern of coping. *E) the heritage of the health care system. C) cost less than traditional or biomedical providers. Limited English proficiency is associated with a lower quality of care. C) "Why did you wait so long to make an appointment?" A) a person's state of health. What type of database is most appropriate for an individual who is admitted to a long-term care facility? You must be aware of *traditional folk practices* and assess them. A) There are laws addressing language barriers and health care. A) an evaluation of past and present health state of each body system. Feedback: INCORRECT ATI is big on assessment and "which patient would you see first" kinds of questions. A complete database includes a complete health history and a full physical examination; it describes the current and past health state and forms a baseline against which all future changes can be measured. Feedback: INCORRECT Recording physical findings in the review of systems is incorrect; review of systems is limited to the patient statements or subjective data. A) Episodic A) ask about violence and abuse before asking about alcohol and drug use. Appearance, dress, and hygiene are observations included in the general survey. B) Follow-up On further exploration, the nurse asks, "What makes the headaches worse?" D) report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and pain on passive range of motion. Coping patterns would include methods to relieve stress. Quizlet health assessment practicum quiz1 - 1 ____________ to what is important to your patient. The nurse-physician relationship is not the barrier to communication in this situation In a multicultural country, you must accept that *differences exist* and be open to the *importance of these practices* to the patient. A) Good is hot. Use both inductive and deductive reasoning to develop your argument. *complete health history data category 6.*. Feedback: INCORRECT *B) 7* While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician's reaction. Each culture has its own healers who usually: D) ethnocentric language. * Fourth, record the *present health or history of present illness*. C) English proficiency is associated with a lower quality of care. Which of the following will most likely describe this patient's view of wellness? C) 9 The *depth of information* obtained for each health history category may vary from one setting to another. A complete data base is: *A) education, financial status, and value-belief system. D) Patients with language barriers have a decreased risk of nonadherence to medication regimens. Viewing the world from another person's inner frame of reference is called: B) reduce noise by turning the volume on the television or radio down. A) an optimal functioning of mind, body, and spirit within the environment. C) breast lump 1. B) Cognition and literacy level For *all patients*, it is a *screening tool* for abnormal symptoms, health problems, and concerns. *C) helps the patient understand personal feelings in relation to his or her verbal message. *Culture* has the following four characteristics: D) depression. Beverages, foods, herbs, medicines, and diseases are classified as hot or cold according to their perceived effects on the body, not on their physical characteristics. Of the emerging majority in the US, *Hispanics* are the largest population. Feedback: INCORRECT When considering cultural competence, there are discrete areas that the nurse must develop knowledge of to understand the health care needs of others. Refer to feedback in Option B. C) avoidance language. Feedback: INCORRECT Feedback: INCORRECT B) personal response to stress. * Sixth, gather a *family history* to help detect health risks for the patient. Feedback: INCORRECT Internal and external factors can affect communication. Feedback: INCORRECT 2. C) ask the patient if there is someone who could verify information. D) prevention of disease. *, ___ in every ___ residents belongs to a *group other than single-race, non-Hispanic White. Health Assessment Exam 1 Term 1 / 211 An instructor is describing a comprehensive nursing health assessment to a group of students. C) excessive or uncontrollable drinking. Feedback: INCORRECT